Basic processes and clinical applications of mental imagery in worry: A systematic review

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Psychology Review Pub Date : 2024-04-11 DOI:10.1016/j.cpr.2024.102427

Lauren Stavropoulos , David D.J. Cooper , Sophie M. Champion , Luke Keevers , Jill M. Newby , Jessica R. Grisham

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Abstract

Background

In this systematic review, we aimed to synthesise existing research on the phenomenology of mental imagery among high worriers compared to healthy individuals, and to characterise the nature and effectiveness of existing imagery-related interventions in treatment of worry.

Methods

PsycInfo, CENTRAL, EMBASE, Medline, Medline Epub, and PubMed were searched for studies examining the relationship between worry/GAD and mental imagery, or interventions using imagery in treatment of worry/GAD. We assessed study quality and used qualitative narrative synthesis to comprehensively map study results.

Results

The search yielded 2589 abstracts that were assessed for eligibility independently by two authors. From this, 183 full texts were screened and 50 qualitatively synthesised. Twenty-seven reported an association between worry/GAD and an aspect of mental imagery. Here, overactive negative and worry imagery, and diminished positive future imagining, were associated with worry/GAD. Twenty-three studies reported an intervention. This literature suggested mixed findings regarding efficacy, including for imaginal exposure as an independent technique for GAD.

Conclusions

Findings support dysfunctional negative imagining and diminished positive prospective imagery in GAD. General imagining abilities remain intact, which is promising for efforts to utilise imagery in treatment. Further research is warranted to develop innovative clinical applications of imagery in treatment of GAD.

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忧虑心理想象的基本过程和临床应用：系统综述

背景在这篇系统性综述中，我们旨在综合现有的关于高度焦虑者与健康人相比的心理意象现象学的研究，并描述现有的与意象相关的干预措施在治疗焦虑方面的性质和有效性。方法我们检索了PsycInfo、CENTRAL、EMBASE、Medline、Medline Epub和PubMed上关于焦虑/GAD与心理意象之间关系的研究，或使用意象治疗焦虑/GAD的干预措施。我们对研究质量进行了评估，并使用定性叙事综合法对研究结果进行了全面描绘。结果检索共获得 2589 篇摘要，由两位作者对这些摘要的资格进行了独立评估。从中筛选出 183 篇全文，并对其中 50 篇进行了定性综合。其中 27 篇报告了担忧/GAD 与心理想象的某个方面之间的联系。其中，过度活跃的消极和忧虑想象以及减少的积极未来想象与担忧/焦虑症有关。23 项研究报告了干预措施。结论研究结果表明，在 GAD 中，消极想象功能失调，积极的未来想象减少。一般想象能力保持完好，这对利用想象进行治疗很有帮助。我们有必要开展进一步的研究，以开发意象治疗 GAD 的创新性临床应用。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.